Active NPI
Sa Dental LLC
- Pediatric Dentistry
- Omaha, NE
National Provider Identifier
1043178593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SA DENTAL LLC
- Practice address
- 14450 Eagle Run Dr Ste 290
Omaha, NE 68116-1493 - Phone
- (402) 964-9009
- NPI assigned
- Jan 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Lightfoot
- Title
- Authorized Official
- Phone
- (214) 702-0708
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
14450 Eagle Run Dr Ste 290
Omaha, NE 68116-1493
Mailing address
15660 Dallas Pkwy Ste 950
Dallas, TX 75248-3309
National Provider Directory
National Provider DirectoryLocations
14450 Eagle Run Dr
Ste 290
Omaha, NE 68116
Phone (402) 964-9009
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Omaha, NE
- NPI 1871680439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769558400000",
"number": "1043178593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15660 DALLAS PKWY STE 950",
"city": "DALLAS",
"state": "TX",
"postal_code": "752483309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14450 EAGLE RUN DR STE 290",
"city": "OMAHA",
"state": "NE",
"postal_code": "681161493",
"telephone_number": "402-964-9009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SA DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-13",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A",
"authorized_official_last_name": "LIGHTFOOT",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "214-702-0708"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.